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Appointment Request Form

To request your next appointment, please complete the form below and let us know the most convenient time and date for you. Please don't forget to include accurate contact details so we can follow up with you to finalize your request. If this is an emergency, do not contact us online — contact your local urgent care center or if you are in the Kootenai County area, please contact the Kootenai Health Emergency Department at (208) 625-5700